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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />-AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />TYPL-- OF APPLICATIONAPPLICATION SUBMITTAL <br /> BUILDING ~ ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> DWELLING ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> <br /> DWELLING LABEL I .J SITE PLAN REVIEW ~ J PLUMBING <br /> MANUFACTURED DWELLING ~ i SITE EVALUATION ~ ~ MECHANICAL <br /> MANUFACTURED STORAGE ~ I SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> PRE.FAR I I SEPTIC i ~ INFORMATION <br /> <br />WORK DESCRIPTION: ~./~?..;~.-~ .,~ ~. ~'"~-~-~.(_/ <br /> <br />(~<~, I am performing the work on property I own or occupy, <br /> <br />I am a registered builder or the authorized representative of a registered builder, <br />State of Oregon ConstruCtion Contractor's Board Registration # <br />FAX# <br /> <br />I am the authorized representative of the property owner or contractor, <br /> <br />will be hiring a general contractor registered with the Construction Contractors Board, <br /> <br />This application may go through a simultaneous review process where zoning , septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit, It is the responsibility of the applicant <br />to assure that ail necessary information has been provided. <br /> <br />As soon as ail requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICAN]L~, <br /> <br />REV 8/31SS <br /> <br />TAX ACCI~ <br />BLOCK~ <br /> <br /> <br />